• The Journal of Internal Korean Medicine
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• v.45 no.2
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• pp.131-139
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• 2024

In this case report, we describe the effects of Korean Medicine therapies, including Bunshimgi-eum, on a patient hospitalized with insomnia due to fibromyalgia in a Korean Medicine Hospital. We treated the patient with Bunshimgi-eum for 21 of 27 hospital days. Post-treatment, we used the Insomnia Severity Index (ISI) to measure the severity of insomnia. To determine the severity of multiple pain, including neck, low back, Lt. shoulder, Lt. elbow, Rt. knee, and hand, we used the Numerical Rating Scale (NRS). For evaluation of generic health status, we used the European Quality of Life-5 Dimensions (EQ-5D) scale. After the treatment, the patient's clinical symptoms improved, according to the ISI, NRS, and EQ-5D. The results of this case study suggest that Korean Medicine therapies, including Bunshimgi-eum, may have positive effects as a treatment for insomnia related to fibromyalgia.

• 방재와보험
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• s.126
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• pp.68-69
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• 2008

이번 탐방은 중앙지부의 추천으로 경기도 성남시 분당구 구미동 300번지에 위치한 분당 서울대학교병원을 방문하였다. 불곡산의 푸른 공기와 탄천의 맑은 물이 어우러진 넉넉한 자연의 품에 안긴 모습이 병원이라기보다는 휴양시설에 온 느낌이다. 이곳에서 방화관리를 담당하는 시설팀 이홍규 과장을 만나 시설현황과 안전관리현황, CEO의 경영철학 등에 관한 이야기를 나누어 보았다.

• Proceedings of the ESK Conference
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• 1997.10a
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• pp.31-34
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• 1997

본 연구에서는 들기 작업 중 특히 2인이 행하는 들기 과업시 신장과 근력의 차이가 작 업 능력에 어떠한 영향을 미치는가를 실험을 통해 심리육체적(Physchophysical approach)/ 생리학적(Physiological approach)으로 분석하였다. 실험은 건설 현장 작업의 Form 들기 작업을 시뮬레이션하였다. 남자 대학생 14명을 대상으로 2인 작업팀을 신장/근력 차이가 있는 팀과 비슷 한 신장/근력 팀으로 설정된 기준에 따라 나누었고 20분간 심리육체적인 실험을 통해 이 두 그룹간 의 최대 허용 하중 (Maximum Acceptable Weight of Load, MAWL)과 생리적인 부하(Load)의 차이를 측정하였다. 생리적 부하는 K4를 신장과 관계없이 근력이 약한 피실험자에게 착용케하여 심박수와 에너지 소비량을 산출하여 두 그룹을 비교하였다. 실험 결과 최대 허용하중의 경우 다른 신장/근력 팀에 분당 2회의 빈도의 경우 각각 16.2kg, 14.0kg, 분당 4회의 경우 각각 12.6kg, 10.6kg으로 비슷 한 신장/근력 팀의 경우가 다른 신장/근력 팀의 경우보다 높은 최대 허용 하중을 보였고, 에너지 소 비량은 다른 신장/근력 팀과 비슷한 신장/근력 팀에 대해 분당 2회의 경우 각각 6.01 kal/분, 5.82 Kal/분, 분당 4회의 경우 각각 7.81 kal/분, 7.43 kal/분, 심박수는 분당 2회의 경우 98.62(회/분), 94.60(회/분), 분당 4회의 경우 122.00(회/분), 117.43(회/분), 으로 다른 신장/근력 팀의 경우가 비슷한 신장/근력 팀의 경우보다 높은 에너지 소비량과 심박수를 보였다.

• Health Policy and Management
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• v.33 no.2
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• pp.185-193
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• 2023

Background: This study focuses on the establishment and operation of a stroke patient hotline program to help patients and their caregivers determine when acute neurological changes require emergency attention. Method: The stroke hotline was established at the Gyeonggi Regional Cerebrovascular Center, Seoul National University Bundang Hospital, in June 2016. Patients diagnosed with stroke during admission or in outpatient clinics were registered and provided with stroke education. Consulting nurses managed hotline calls and made decisions about outpatient schedules or emergency room referrals, consulting physicians when necessary. The study analyzed consultation records from June 2016 to December 2020, assessing consultation volumes and types. Outcomes and hotline satisfaction were also evaluated. Results: Over this period, 6,851 patients were registered, with 1,173 patients (18%) undergoing 3,356 hotline consultations. The average monthly consultation volume increased from 29.2 cases in 2016 to 92.3 cases in 2020. Common consultation types included stroke symptoms (22.3%), blood pressure/glucose inquiries (12.8%), and surgery/procedure questions (12.6%). Unexpected outpatient visits decreased from 103 cases before the hotline to 81 cases after. Among the 2,244 consultations between January 2019 and December 2020, 9.6% were recommended hospital visits, with two cases requiring intra-arterial thrombectomy. Patient satisfaction ratings of 9-10 points increased from 64% in 2019 to 69% in 2020. Conclusion: The stroke hotline program effectively reduced unexpected outpatient visits and achieved high patient satisfaction. Expanding the program could enhance the management of stroke-related neurological symptoms and minimize unnecessary healthcare resource utilization.

• The Journal of Internal Korean Medicine
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• v.40 no.5
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• pp.841-850
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• 2019

Objective: The aim of this study was to report the effects of traditional Korean medicine as a treatment for the pain of a compression fracture in a patient with metastatic prostate cancer. Methods: A 60-year-old male patient with a compression fracture was treated with herbal medicines, acupuncture, and pharmacopuncture for 25 days. His chief complaints were severe low back pain, pain and numbness in both legs, and right groin pain. The effect of treatment was evaluated by the numerical rating scale (NRS) score for pain, the Oswestry Disability Index (ODI) score, and blood test results (CBC-diff count, CRP, ESR, etc.). Results: After 25 days of inpatient treatment, the patient's pain was controlled. The NRS and ODI scores were lower and most pathological symptoms had decreased. Conclusions: Traditional Korean medicine can be a solution for patients with compression fractures arising from metastasis of prostate cancer to the spine.

• The Journal of Internal Korean Medicine
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• v.42 no.5
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• pp.738-745
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• 2021

Objective: This study investigated the efficacy of using Nokyonggunbi-tang and other Korean medical treatments for a patient with consumptive disease and chronic fatigue. Methods: A 59-year-old female patient with fatigue, headache, dizziness, and neck pain due to consumptive disease and chronic fatigue was treated with herbal medicine (Nokyonggunbi-tang), together with acupuncture, pharmacopuncture, cupping, and chuna manual therapy, for 22 days. The treatment effects on the pain were evaluated using the scores for the Fatigue Severity Scale (FSS), European Quality of Life Five Dimensions (EQ-5d) Scale, Neck Disability Index (NDI), and Numerical Rating Scale (NRS). Results: Following treatment, the patient showed a decrease in the FSS, NDI, and NRS scores and an improvement in the EQ-5d score. Conclusions: Nokyonggunbi-tang and Korean medical treatment significantly improved fatigue symptoms in a patient with no substrate disease.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.29 no.3
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• pp.263-277
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• 2022

Purpose: This descriptive study examined the management status of the home health care visiting vehicles and the nurse bags, by the home health care center of hospitals (at the hospital level or higher) in Korea, and identified the relevant factors. Methods: Of 120 managers or home health care nurses from medical institutions at hospital level or higher that provide home nursing, 93 individuals participated in the study in July 2021. Results: Hospitals that followed standard guidelines were more likely to perform internal disinfection of home health care visiting vehicles, and distinguished between clean and contaminated areas inside the visiting vehicles. Further, hospitals that followed standard guidelines were more likely to use more barrier surfaces to protect the surfaces of nurse bags to prevent infection. In addition, hospitals supporting the washing cost of the interior of home health care visiting vehicles were more likely to conduct the washing, and hospitals supporting nurse bags were more likely to use barrier surfaces to protect the bags' surfaces. Conclusion: This study only investigated home health care centers at hospital level or higher. Therefore, to generalize the results of the study, it is necessary to conduct a qualitative study involving additional investigation of home health care visiting vehicles and nurse bags and interviews with nurses from all domestic home health care centers.

• The Journal of Internal Korean Medicine
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• v.43 no.5
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• pp.809-816
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• 2022

Objective: This study investigated the efficacy of using Korean medical treatments on a patient with functional dyspepsia. Methods: A 61-year-old female patient with functional dyspepsia and C/L-spine HIVD was treated with herbal medicine (Gamihyangsayukgunja-tang), acupuncture, pharmacopuncture, chuna manual therapy, and cupping therapy for 18 days. The treatment effects on the functional dyspepsia were evaluated using the Numerical Rating Scale score, Gastrointestinal Symptom Score, and Bristol Stool Scale results. Results: Following treatment, the patient showed decreases on the Numerical Rating Scale and Gastrointestinal Symptom Score and improvement on the Bristol Stool Scale. Conclusions: Korean medical treatment improved the condition of a patient with functional dyspepsia.

• Journal of the Korean Society of Radiology
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• v.82 no.3
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• pp.700-707
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• 2021

Hemangioblastomas are low-grade, highly vascular tumors that are usually associated with von Hippel-Lindau syndrome. Hemangioblastomas most commonly occur in the cerebellum, and intradural extramedullary hemangioblastoma of the cauda equina is very rare, especially in patients without von Hippel-Lindau syndrome. Herein, we report a case of intradural extramedullary hemangioblastoma of the cauda equina that was not associated with von Hippel-Lindau syndrome, with a focus on its imaging characteristics and differential diagnoses. We compared the clinical presentation and imaging features of our case with those of previously reported cases in the review of the literature.

• Journal of the Korean Society of Radiology
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• v.83 no.4
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• pp.951-957
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• 2022

Meningiomas are the most common intracranial tumors. However, microcystic and angiomatous meningiomas are very rare subtypes that present unusual imaging findings. Hence, radiological diagnosis of these tumors can be challenging. We herein describe a case of mixed angiomatous and microcystic meningioma in an 81-year-old male. MRI revealed an extra-axial mass with high T2 signal intensity, measuring 1.5 cm in diameter, with multiple tiny intralesional cysts and entrapped peritumoral cyst formation. After tumor resection, a histopathological diagnosis of mixed angiomatous and microcystic meningioma was made.